The prevalence of fibromyalgia among school children in Kalubia

Aim of the work This study aimed to determine the prevalence of juvenile fibromyalgia syndrome (JFMS) among school children in Kalubia. Patients and methods This is a cross-sectional study conducted on school children in Kalubia governorate in January 2012 to determine the prevalence of fibromyalgia syndrome among school children. A total of 2000 children attending on the days of our visits were recruited from (a) primary and (b) preparatory schools. JFMS was diagnosed according to American College of Rheumatology (ACR) revised criteria 2010. Results We found that the prevalence of fibromyalgia among students in Kalubia governorate was 1.25%. Widespread pain and fatigue were found in all JFMS cases (100%), muscle stiffness was found in 14 cases (56%), and decreased physical activity in 12 cases (48%). Migraine was detected in 13 cases (52%), whereas sleep disturbance was present in 10 cases (40%). Also, depression was found in 10 cases (40%) and anxiety in two cases (8%). Irritable bowel symptom was detected in five cases (20%), but both weight fluctuation and atypical chest pain were recorded in one case (4%). Conclusion Pediatricians and other health providers should suspect JFMS in children suffering from pain, fatigue, and heat and exercise intolerance